KATHERINE D ANDERSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052986

License Status

CANCELLED

Business

First Name

KATHERINE

Middle

Last Name

ANDERSON

Suffix

Business Name

KATHERINE D ANDERSON DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/30/2007